31733 Gibson Teledata ��yy INDIANA RETAIL TAX EXEMPT PAGE
���U ® Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
N, ypa(+y1'1.2n4- D r L G IA FEDERAL EXCISE TAX EXEMPT 31 -13 3
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.NP
CARMEL, INDIANA 46032-2584 ' VOUCHER, DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4193I ►1-I
61;b-SOn /dn,+cz Inc
VENDOR agLI D Vincennes Circle SHIP
TncIianapalIS) / N gloan5' TO o'"
f
•
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5336e Qhons sys---em -730110_
pp r 0, ++6,cA\L d
0 1< .....**. ,.
!'la 1 I
* o 0
ti
11111
°Q p ........coo y 9 ..,
Send Invoice To; '
bov�Ias C 14an-' lr f•
Dm Civ t C SgUar2 • •
da caul , IN LIp03, . •
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
aog - L11-1/9-3100 CGfIDYIS PAYMENT -130, 10
oamen UM • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
L,
e^ V 1I^M- fit'Q NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
G ry �w VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS - • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APP$QPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE I y A- Y rLP Y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
317 3 3 CLERK-TREASURER
1 DOCUMENT CONTROL NO. OFFICE COPY